Individual
KAYLYN MARIE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2150 COMMERCIAL ST SE, SALEM, OR 97302-5379
(503) 508-6797
Mailing address
2150 COMMERCIAL ST SE, SALEM, OR 97302-5379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10153993
OR
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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